Active NPI
Bryan C Hiller
- Orthodontics and Dentofacial Orthopedics Dentistry
- Laconia, NH
National Provider Identifier
1831337625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 03583
- Legal business name
- BRYAN C HILLER
- Practice address
- 394 Union Ave
Laconia, NH 03246-2812 - Phone
- (603) 707-4684
- NPI assigned
- Feb 2, 2009
- Last updated
- Feb 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bryan Charles Hiller, DMD, MS
- Title
- Doctore/Owner
- Phone
- (603) 707-4684
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 03583 | NH | Primary |
Addresses
Primary practice location
394 Union Ave
Laconia, NH 03246-2812
Mailing address
394 Union Ave
Laconia, NH 03246-2812
Phone (603) 707-4684
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30307060 | Medicaid | NH |
National Provider Directory
National Provider DirectoryLocations
394 Union Ave
Laconia, NH 03246
Phone (603) 707-4684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233532800000",
"number": "1831337625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "394 UNION AVE",
"city": "LACONIA",
"state": "NH",
"postal_code": "032462812",
"telephone_number": "603-707-4684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "394 UNION AVE",
"city": "LACONIA",
"state": "NH",
"postal_code": "032462812",
"telephone_number": "603-707-4684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYAN C HILLER",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-02",
"last_updated": "2009-02-02",
"status": "A",
"authorized_official_last_name": "HILLER",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "DOCTORE/OWNER",
"authorized_official_telephone_number": "603-707-4684",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD, MS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NH",
"license": "03583",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30307060",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laconia, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.